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Samarium Sm-153 Lexidronam, Therapeutic

Iowa rates for HCPCS A9604

Samarium Sm-153 lexidronam, therapeutic, per treatment dose, up to 150 mCi

Rates data updated July 2026.

How much does Samarium Sm-153 Lexidronam, Therapeutic cost?

$16,218

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $16,218 for this service. The price depends on where it is billed: about $16,218 from a physician practice, and about $3,162 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$16,218$15,488 to $19,498
FacilityA hospital or hospital-owned outpatient department$3,162$3,162 to $19,498

How much rates vary

Facilitymedian $3,162 · 10th to 90th $3,162 to $19,498Professionalmedian $16,218 · 10th to 90th $5,888 to $19,498
$5K$10K$20K$50Kfacility $3,162professional $16,218

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15,488.17
Median
$19,498.45
Typical High
$19,498.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$5,248.07
Typical High
$5,888.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$15,848.93
Typical High
$15,848.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$6,025.60
Typical High
$20,417.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$16,218.10
Typical High
$19,952.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$6,918.31
Typical High
$19,952.62
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$18,620.87
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,162.28
Typical High
$3,162.28

Where Iowa sits

The same service costs 24.5 times more in Alaska than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 37th of 51

$16,218

AK $26,303MN $1,072

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.